Individual
DR. JAMES CARLISLE DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 E 5TH ST, RUSSELLVILLE, KY 42276-1903
(270) 726-8331
(270) 725-9267
Mailing address
147 E 5TH ST, RUSSELLVILLE, KY 42276-1903
(270) 726-8331
(270) 725-9267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19089
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64190895
—
KY
Enumeration date
07/14/2005
Last updated
02/12/2008
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